THE TERRY FOX FOUNDATION NEW INVESTIGATOR AWARD (2011)
Deadline: Friday April 1st, 2011 11.59 pm Pacific Daylight Time
Email to firstname.lastname@example.org. Fax to 604 675 8118
Full Name of Applicant: [Last Name, first names. Degrees]1
Application Affiliation: [Full Name of Sponsoring Institution]2
Applicant Email: [Applicants’ email address] Applicant Telephone #: [Applicants’ office telephone #]
Proposed Project Title: [Full title of project]
One Paragraph Scientific Summary: [State objective/hypothesis of study. Methodology/technology to
be employed. Desired Outcomes]
Name of sponsoring Terry Fox Foundation New Frontiers Program or Terry Fox Research Institute
Program: [Full name of the sponsoring funded program]
Project Leader Name to verify sponsorship support: [Name of project leader who has agreed to support
Suggest two (2) non-conflicted reviewers for the proposal3:
Name: [Reviewer 1] Name: [Reviewer 2]
Tel Number Tel Number
Expertise: [Expertise relevant to Application] Expertise: [Expertise relevant to Application]
Attach your current curriculum vitae (in the CIHR format).
Square bracketed elements in grey designed to be replaced by Applicant with details requested.
Administrative Head of Sponsoring Institution will be required to confirm guarantees requested as part of full application
A non-conflicted reviewer should not have an active collaboration either with the Applicant or with the Sponsoring Program,
or have published with either in the past 5 years.
RFA Terry Fox New Investigator Award (2011) Page 1